Crohn's Disease & Ulcerative Colitis Support Group
Crohn's disease is a systemic inflammatory bowel disease (IBD) of unknown cause, that results in chronic inflammation of the intestinal tract. It can affect the entire gastrointestinal tract from mouth to anus, and can also cause complications outside of the gastrointestinal tract. There is no known medical or surgical cure for Crohn's disease, but there are many medical...
You should not worry. I have had collitis since I was age 17. You do need to get a collenoscopy every year or 2. I had some pollops found, and the doctor took them out...So do not worry, and keep getting your check ups. As long as you get your check ups you will be fine.
Honestly, if you are taking care of yourself and eating properly, you shouldn't worry. Having a regular colonoscope done will catch anything before it becomes cancer. I have had several polyps removed over the years.
I worry more about today than tomorrow.
So, as long as you are checked, you should not worry....
The risk of colon cancer generally starts to increase 8-10 years after you develop IBD, which is in line with when I started having regular colonoscopies. I started having regular annual colonoscopies 8 years after my diagnosis (I have pancolitis). Well, actually it was every 2 years at first but since Ive had pre cancerous polyps, my doc now does them annually.
Following are a couple of links to publications that go more into statistics. I think the bigger take away is to make sure we all go in for regular surveillance colonoscopies and then theyll be able to nip any pre cancer or cancer in the bud.
http://www.uptodate.com/contents/colorectal-cancer-surveillance-in-inflammatory-bowel-disease
http://www.biomath.info/Protocols/PGY2/docs/KarkhanisJamuna.pdf
http://www.ccfa.org/assets/pdfs/consensus-conference.pdf
Also, from what I understand, there are three main types of colon polyps, adenomatous which are the kind that can become malignant, hyperplastic, which are rarely malignant, and then there are polyps which are inflammatory, associated with IBD. So I think, although Im not sure, that those are the ones where they are more concerned about whether you have your colon removed or not. But dont quote me on that. I just know when I had my pre cancerous polyps removed, the biopsy report noted specifically that they were not related to my UC. Well see what other goodies they find at my next colonoscopy this June.
If someone thinks Ive misstated anything here, please jump in. Im no expert by
As for risk, my doc told me that the increased risk is not really as high as statistics imply. He told me that the statistics were based on studies at places like Mayo, etc, where the sickest patients are treated, which skews the stats. so for the average UC patient, the risk is generally a bit lower because to some extent the worse the disease, the higher the risk. Of course, if you happen to be in the category of sickest of the sick, the risk is higher.
In my unprofessional opinion, family history, lifestyle and other risk factors contribute more than just having UC. If you have family members with colon cancer, and severe UC, then be more diligent, but otherwise, i wouldn't get stressed out worrying about cancer. Dealing with UC is more than enough stress for anyone without adding worries about something that MIGHT happen.
When I was first diagnosed (26 + yrs ago), I was told that there is a 10% risk increase for cancer for every year I have active UC. Doing the math, I should of had cancer twice so far, and half way to a third time.
Here's one for you much less lovely stated: "worrying is like a rocking chair, you are moving but aren't going anywhere"
Hopefully it'll all be gone now that he's stopped taking his glipizide and after the colazal...Just have to get him to eat cultured yogurt!